Active NPIIndividual provider

Timothy Corey, PA-C, MED, CSCS

Physician Assistant in Augusta, Maine

NPI Number1366124760
Practice location
15 Enterprise Dr, Augusta, ME 04330-7997
Fax
207-621-8801
Last updated
October 19, 2026

Timothy Corey is a Physician Assistant based in Augusta, ME. Timothy Corey practices in Augusta, ME and has the professional credentials of PA-C, MED, CSCS. The NPI Number for Timothy Corey is 1366124760 and holds a License No. PA2708 (ME). The current practice location address for Timothy Corey is 15 Enterprise Dr, Augusta, ME 04330-7997 and can be reached out via phone at 207-621-8800 and via fax at 207-621-8801.

Provider Profile Details

NPI Number
1366124760
Provider Name
Timothy Corey
Credential
PA-C, MED, CSCS
Provider Entity Type
Individual
Gender
Male
Address
15 Enterprise Dr, Augusta, ME 04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2023
Last Update Date
October 19, 2026
Certification Date
October 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Enterprise Dr
Augusta, ME 04330-7997
State
Maine
Zip
04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
15 Enterprise Dr
Augusta, ME 04330-7997
City
Augusta
State
ME
Zip
04330-7997
Phone Number
207-621-8800
Fax Number
207-621-8801

License Information

License Number
PA2708
License State
ME
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Corey, PA-C, MED, CSCS?

The NPI number of Timothy Corey, PA-C, MED, CSCS is 1366124760. It was assigned on August 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Timothy Corey, PA-C, MED, CSCS?

Timothy Corey, PA-C, MED, CSCS is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2708.

Where does Timothy Corey, PA-C, MED, CSCS practice?

The practice location is 15 Enterprise Dr, Augusta, ME 04330-7997. The office can be reached at 207-621-8800 (phone) or 207-621-8801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366124760 directly on the NPPES registry website.

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